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Aortic bullet embolization revealed by peripheral ischemia after a thoracic gunshot wound
Carine Pavy1, Guillaume Lebreton, Bruno Sanchez
1Department of Thoracic and Cardiovascular Surgery, University Hospital (Pierre Zobda Quitman Hospital), BP 632, 97261 Fort de France Cedex, Martinique, France.
Abstract:
We present the case of a 21-year-old male who came to the emergency ward for a thorax bullet wound. At our first check-up, the computed tomography (CT)-scan showed a pulmonary contusion, a hemothorax and a suspicious image of a thoracic aortic wound. The patient was stable, but soon after admission a distal ischemic syndrome appeared which revealed the emboli of the projectile. We removed it and a stent graft was implanted into the thoracic aorta. We report our experience of the treatment and the mechanisms that explain how such a wound did not kill the patient.
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